CAJ | 학술논문

目的：比较锁定钢板与双钢板内固定治疗胫骨平台骨折的临床疗效。方法42例胫骨平台骨折患者，按不同手术治疗方案分为对照组(行双钢板内固定手术治疗)和观察组(行锁定钢板内固定治疗)，各21例，对两种术式的临床疗效进行综合比较。结果术后6个月，观察组治疗优良率为85.71%，高于对照组71.43%，但组间差异无统计学意义(P>0.05)；观察组患者在术后完全负重时间、骨折愈合时间以及随访期间美国纽约特种外科医院(HSS)膝关节功能评分均优于对照组患者(P<0.05)。结论锁定钢板与双钢板内固定治疗胫骨平台骨折效果相当，但锁定钢板更有利于患者膝关节功能恢复。
목적：비교쇄정강판여쌍강판내고정치료경골평태골절적림상료효。방법42례경골평태골절환자，안불동수술치료방안분위대조조(행쌍강판내고정수술치료)화관찰조(행쇄정강판내고정치료)，각21례，대량충술식적림상료효진행종합비교。결과술후6개월，관찰조치료우량솔위85.71%，고우대조조71.43%，단조간차이무통계학의의(P>0.05)；관찰조환자재술후완전부중시간、골절유합시간이급수방기간미국뉴약특충외과의원(HSS)슬관절공능평분균우우대조조환자(P<0.05)。결론쇄정강판여쌍강판내고정치료경골평태골절효과상당，단쇄정강판경유리우환자슬관절공능회복。
Objective To compare the clinical effects between dual plate fixation and locking plate fixation in the treatment of tibial plateau fracture.Methods A total of 42 patients of tibial plateau fracture were divided by different surgical measures into control group (dual plate fixation for surgical treatment) and observation group (locking plate fixation for treatment), with 21 cases in each group. Comprehensive comparison was made between clinical effects of the two groups.Results In 6 months after surgery, the observation group had the good rate as 85.71%, which was higher than 71.43% of the control group, however the difference between the two groups had no statistical significance (P>0.05). The observation group had better postoperative full weight-bearing time, healing time, and the hospital for special surgery (HSS) knee function score during follow-up than the control group (P<0.05).Conclusion Locking plate and dual plate internal fixation have similar effects in treating tibial plateau fracture, while locking plate is more helpful for knee joint function recovery.